PEDIATRIC VACCINE STOCKPILES

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PEDIATRIC VACCINE STOCKPILES

• A Status Report on the Pediatric Vaccine
  Stockpiles
• November 2005

Gregory S. Wallace, M.D., M.S., M.P.H. Chief,
Program Support Branch (PSB) Immunization
Services Division (ISD) National Immunization
Program (NIP)
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History

• 1983 Began stockpiling pediatric vaccines
• 1993 VFC legislation enacted established
  requirement for 6-month stockpile of all
  routinely recommended childhood vaccines
• 1993 Began purchasing vaccines for stockpile
• 2002 Revenue recognition issues arise
• 2005 All vaccine manufacturers agree to sell
  vaccines to CDC for stockpile

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Pediatric Vaccine Stockpiles

• What happened?
• May 2005 - CDC met with SEC
• June-July 2005 - SEC met with the corporate HQs
  of all four vaccine manufacturers
• August 2005 - All of the vaccine manufacturers
  agreed to participate in the CDC Pediatric
  Vaccine Stockpile Program
• Regardless of the revenue recognition issues
• Based on their capacity to sell CDC vaccines for
  the stockpile

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Pediatric Vaccine Stockpiles

• Fiscal Year (FY) 2005 activity
• All four manufacturers agreed in FY 2005 to sell
  vaccine to CDC for the Pediatric Vaccine
  Stockpiles
• 158.8M obligated to purchase 5,500 doses
• CDC established new target quantities for
  stockpiled vaccine
• CDC established revised plans for future vaccine
  purchases for the stockpile

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Pediatric Vaccine StockpilesCurrent Status
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Purchased/Undelivered Doses

• FY 2003
• 2.4 million doses IPV (sanofi)
• 2 million doses HepB (GSK)
• 1 million doses HepA (GSK)
• 0.8 million doses PCV7 (Wyeth)
• FY 2005
• 0.5 million doses Hib (sanofi)
• 1.5 million doses DTaP (sanofi GSK)
• 2 million doses PCV7 (Wyeth)
• 0.5 million doses DTaP/HepB/IPV

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Pediatric Vaccine Stockpiles

• Stockpile management
• Target quantities workgroup
• NVAC ACIP participation
• Contract review and revision
• Purchase vs. delivery price
• Third-party distributor

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Next Steps

• Review and revise contracts with two (2)
  manufacturers who have existing stockpile
  contracts
• Establish new stockpile contracts with two(2)
  vaccine manufacturers
• Incorporate stockpile management into VMBIP